Individual
JAY KURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
608 E HARMONY RD, SUITE 101, FORT COLLINS, CO 80525-3210
(970) 204-9069
(970) 624-3021
Mailing address
1627 E 18TH ST, LOVELAND, CO 80538-4209
(970) 663-0135
(970) 461-1422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5666
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1593277
—
IA
05
—
160126100
—
MN
05
—
51430339
—
CO
05
—
5611762
—
SD
Enumeration date
06/28/2006
Last updated
02/13/2009
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